Fees

Monthly Coaching Plans:

All monthly coaching plans include a predetermined number of 45-minute sessions (see below), plus between-session support to keep you on track. You'll get two check-ins per week via email or text. Plans and pricing are as follows:

  • Four Coaching Sessions + between-session support: $725 per month
  • Three Coaching Sessions + between-session support: $575 per month
  • Two Coaching Sessions + between-session support: $425 per month

Coaching is billed month-to-month, but you should expect that it is a process that will take at least several months to achieve lasting results. Fees are payable at the beginning of each month. A credit card will be kept on file and automatically billed each month on approximately the same date. For example, if you begin coaching on the 15th of the month, your card will be billed for one month of coaching initially, and billed again on or around the 15th of every subsequent month that you remain a client.

 

Single Sessions (coaching or counseling):

Counseling is billed per-session rather than as part a monthly plan. Coaching is also available on a per-session basis if you don't need or want between-session support. The fee per 45 minute session is $160.

 

Insurance (it's complicated): 

I am an “out of network ” (OON) provider for most insurances other than Blue Cross / Blue Shield (BCBS). If your plan includes OON benefits you may be able to submit claims to your insurance company for partial reimbursement.  Payment is due in full at the time of service.  Please contact your insurance company to find out how much they pay for outpatient psychotherapy. It’s usually a certain percentage up to their “allowable amount”.

I am currently a provider for BCBS, however, I am in the process of terminating my contract with them.  I am not accepting new counseling clients with BCBS even if you have OON benefits, until this process is finalized. I don’t like that is has to be this way, but the exit path is treacherous.  I feel it would be unethical to begin a counseling relationship that is likely to end prematurely due to the insurance situation. And I am not permitted to provide OON services while I am still under contract. So it’s a bit of a catch-22 right now.

If you would like to work with me, and you have BCBS, please consider coaching instead of counseling. Coaching is not covered by insurance. 

Why I no longer accept insurance:

  • There is no such thing as a “negotiated rate”. Insurance companies decide unilaterally how much they will pay their providers for a given service. It’s the same amount for everyone within a profession (e.g. all licensed professional counselors, all psychologists) regardless of experience, specialization, advanced training, or certifications. 
  • Rates have increased only once in the eight years I’ve been a provider for BCBS. That was five years ago.
  • They can “claw back” any payment if they later decide they don’t like the way our notes were written. They can go back years, taking all the money they paid right out of our bank accounts. We have no control over this.
  • There is virtually no support for providers. BCBS gives us an email address and a phone number.  The email auto-reply says to call them because they don’t respond to emails. Their recorded phone greeting says to email them (!), or wait 6-10 days for a callback (which will probably occur during a client session and they do not return calls twice.)
  • Claims are often erroneously rejected or underpaid.  When that happens, there’s no way to resolve it, because, no support.  We all make mistakes - can't we just talk about it?

I love the work I do.  I love my clients.  But it’s time to set a boundary. The only power I have in my relationship with insurance is to end it. I’m trying to do so in the gentlest way possible. Thank you for understanding.